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Individual
MRS. LOURENE KIMBELL
Active
Individual
MRS. LOURENE KIMBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041286211
IL
163WM0705X
Medical-Surgical Registered Nurse
041286211
IL
Other
Enumeration date
01/22/2021
Last updated
01/22/2021
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